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Voy a explicar los problemas visuales con Viagra y similares. En medicina cuando un hombre no puede conseguir o mantener la erección del pene en el momento de las relaciones sexuales decimos que tiene una disfunción eréctil. Los fármacos más empleados para tratar la disfunción eréctil son: el Sildenafilo (Viagra), Tadalafilo (Cialis), Avanafilo (Stendra) y el Vardenafilo (levitra). Son inhibidores selectivos de la fosfodiesterasa tipo 5 (PDE5) de todos los tejidos vasculares del organismo, incluidos los de la retina y coroides. Producen erección del pene y además vasodilatación con aumento del flujo sanguíneo en todo el organismo. Dichos fármacos inhiben también, aunque con menos selectividad y menos intensidad, la fosfodiesterasa tipo 6 presente exclusivamente en los fotorreceptores (conos y bastones) de la retina. Por tanto, los efectos visuales adversos dependen de ambas enzimas. Efectos oculares adversos Los problemas visuales suelen ser leves, transitorios y reversibles. No suelen durar más de cinco horas pero en algunos hombres duraron hasta 3 semanas, sin efectos a largo plazo. Los pacientes notan visión azul, fotofobia ligera (aumento del brillo de las luces, visión borrosa, hiperemia, irritaciones querato-conjuntivales y cambios en el electrorretinograma. En ocasiones se eleva la presión intraocular, retinopatía serosa central, neuropatía óptica isquémica y alteraciones del ERG. De los fármacos empleados, el sildenafilo es el que presenta más efectos secundarios visuales. Los efectos visuales adversos aparecen en 3-11% de los hombres que toman 25-100 mg de sildenafil y muchos más con dosis muy elevadas. Los efectos adversos dependen de la dosis tomada: Más no es mejor. Según la prestigiosa revista JAMA Ophthalmology hay tres enfermedades oculares más frecuentes en pacientes que toman fármacos para la disfunción eréctil: El desprendimiento seroso de la retina central (2,58 veces más probable), la neuropatía óptica isquémica (2,02 veces más probable) y la oclusión vascular arterial o venosa de la retina (1,44 veces más probable). Los problemas visuales citados son muy poco frecuentes, pero como son muchos millones los usuarios de estos fármacos en todo el mundo, hay muchas personas que pueden padecerlos Casos especiales Se deben tomar precauciones al tomar fármacos para tratar la disfunción eréctil en ciertos problemas de salud como la Neuropatía Óptica Isquémica anterior no arterítica (NOIANA), la retinosis pigmentaria y cuando se toman ciertos medicamentos. Neuropatía óptica isquémica anterior no arterítica (NOIANA) Produce pérdida visual repentina en uno de los ojos. Sucede cuando el flujo de sangre del nervio óptico queda bloqueado. Retinosis Pigmentaria. (Retinitis pigmentosa) Ya he dicho que los fármacos empleados en la disfunción eréctil inhiben la fosfodiesterasa 5 y la 6 presente exclusivamente en los fotorreceptores de los conos y bastones de la retina. Los pacientes con retinosis pigmentaria tienen menos PDE6 de lo normal y por eso, dichos fármacos pueden dañar les más su visión ya deteriorada por su enfermedad. Antes de tomar fármacos para la disfunción eréctil deben consultar al médico los pacientes con retinosis pigmentaria, los portadores del gen, aunque su visión sea normal y las personas con antecedentes familiares de dicha enfermedad. Empleo de fármacos Los fármacos para la disfunción eréctil como el sildenafilo, se metabolizan en el hígado principalmente por la enzima CIP3A4 del citocromo P450. Ciertos fármacos como los antibióticos macrólidos y los bloqueantes de los canales del calcio inhiben dicha enzima y aumentan la concentración de sildenafilo en plasma y sus efectos secundarios. ¿Vale la pena el riesgo de tomar Viagra? Desde su comercialización, se han prescrito muchos millones de fármacos para la disfunción eréctil y se han notificado muy pocos efectos visuales adversos. Los expertos no desaconsejan su empleo Los médicos de cabecera deben supervisar el tratamiento y comprar dichos fármacos en farmacias legalizadas o en lugares de confianza. Las compras “on line” no están reguladas y en ocasiones no cumplen los estándares de calidad y seguridad. Las compras por internet favorecen su uso irracional y sus riesgos. Conclusión Los fármacos para la disfunción eréctil no afectan la agudeza visual, los campos visuales ni la sensibilidad al contraste. Pueden ocasionar un deterioro leve y transitorio de la discriminación de colores, cuando el fármaco alcanza los niveles plasmáticos máximos. Los problemas suelen ser leves y transitorios y se aconseja suprimirlos si se observa coriorretinopatía serosa central, NOIANA u otras enfermedades oculares. Se deben usar con precaución en pacientes con problemas cardiovasculares y con distrofias retinianas como la retinosis pigmentaria

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It’s Not Testosterone – The Real Reason for Erectile Dysfunction After 60. Welcome to BravHealth! Picture this: you’re over 60, you’ve been active, you’ve been enjoying life, yet you start to notice that, despite a healthy testosterone level, things aren’t functioning as they used to in the bedroom. You might wonder if it’s the end of an era—but don’t worry, we’re here to explore a surprising culprit that’s often overlooked. I’ll walk you through a lesser-known factor affecting erection health in older men, explain why it’s so important, and give you practical tips you can truly use. Before we begin, if this topic resonates with you or someone you know, please like, comment, and subscribe for more insightful health advice. Let’s dive in. ✅ INFORMATIVE AND EDUCATIONAL VIDEO AIMED AT BRINGING KNOWLEDGE TO THOSE WHO WATCH IT. ALWAYS CONSULT A SPECIALIST DOCTOR. Bravhealth, Bravhealth Channel, Stroke prevention, Heart attack symptoms, How to lower blood pressure naturally, Best morning routine for heart health, Natural ways to unclog arteries, Early signs of stroke, Best foods for the heart, How to stay healthy after 50, Best habits for men over 40, Women’s heart, health after 40, Midlife health transformation, Natural health after 40, Anti-aging health tips, How to protect your brain as you age

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In this video, we're revealing a simple, affordable, and natural recipe that can enhance your performance and boost your sexual health. Discover the $2 secret German recipe for a rock-hard erection that combines powerful ingredients known for their health benefits, especially in enhancing blood flow and sexual wellness. What You’ll Learn in This Video: Step-by-Step Guide: Pomegranate Juice: Learn how this powerhouse of antioxidants and nitrates can improve erectile function and support cardiovascular health. (Journal of Urology, 2007) Beetroot: Discover the benefits of beetroot for boosting nitric oxide levels and enhancing blood flow. (Hypertension, 2015) Banana: Find out how potassium-rich bananas help maintain healthy blood pressure and provide a quick energy boost. (American Journal of Clinical Nutrition, 2011) Pumpkin Seeds: Understand the importance of zinc for testosterone production and overall sexual health. (Journal of Nutrition, 2000) Ground Flaxseeds: See how omega-3 fatty acids and lignans in flaxseeds support heart health and hormonal balance. (American Journal of Clinical Nutrition, 2008) Raw Cacao Powder: Explore the benefits of flavonoids in cacao for improving blood flow and overall health. (American Journal of Clinical Nutrition, 2006) Spinach: Learn about the nitrate-rich spinach that boosts nitric oxide production for better cardiovascular health. (American Journal of Clinical Nutrition, 2013) Honey: Discover how honey acts as a natural energy booster and antioxidant. (Journal of the American College of Nutrition, 2009) Greek Yogurt: Find out how Greek yogurt adds creaminess and protein, supporting muscle repair and gut health. (Nutrition Reviews, 2015) Cayenne Pepper: Understand how capsaicin in cayenne pepper enhances circulation and boosts libido. (Journal of Sexual Medicine, 2015) Ingredients and Preparation: Follow our detailed, step-by-step instructions to blend these ingredients into a delicious and nutrient-packed smoothie. Each step is carefully crafted to ensure maximum retention of nutritional benefits and to keep you engaged throughout the video. Engagement: Stay with us until the end to see how all the ingredients come together to create this powerful smoothie. We’ve designed the video to provide crucial information in every step, ensuring you get the most out of each ingredient. Medical Disclaimer The contents of the video, including all text, graphics, images, and other material contained on the channel are strictly for informational purposes only. The Content is NOT intended to be used as a substitute for professional medical diagnosis, advice, or treatment. Please ALWAYS seek the advice of a physician or other qualified health provider with all questions that you have related to or about, a medical condition. Never ignore professional medical advice or delay getting medical advice because of something that you have watched on this video. If you think you may have a medical emergency call 911 immediately. Healthpro does not endorse or recommend any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned in our videos. Relying on any information that is provided by Healthpro, its employees, or others appearing in the content is solely at your own risk.  Tags: #NaturalErectionBooster #GermanRecipe #SexualHealth #PomegranateJuice #BeetrootBenefits #BananaHealth #PumpkinSeeds #GroundFlaxseeds #RawCacaoPowder #SpinachHealth #HoneyBenefits #GreekYogurt #CayennePepper #HealthySmoothie #BoostPerformance #NaturalHealth